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Surgery under local only anesthesia

Operating Room   (203 Views | 4 Replies)
by ftwormanager ftwormanager (New) New Nurse

ftwormanager has 8 years experience and specializes in Ortho and Spine surgery.

17 Profile Views; 3 Posts

I've been tasked to write a policy over Surgery when only using local anesthetic. I've read the AORN guidelines, but I am still stumbling over the wording. Does anyone's hospital have such a policy that they are willing to share? Any help would be appreciated.

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Rose_Queen has 15 years experience as a BSN, MSN, RN and specializes in OR, education.

12 Followers; 4 Articles; 9,480 Posts; 110,232 Profile Views

Our policy states that anesthesia services must be provided for any patient denied surgery in an ambulatory setting due to other health conditions, no cardiac monitoring required, ASA 2 or less, no history of difficult intubation, limited to day shift M-F so that we have an extra RN for monitoring, and that patients must still follow ASA NPO guidelines in the event they must convert to general anesthesia.

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ftwormanager has 8 years experience and specializes in Ortho and Spine surgery.

3 Posts; 17 Profile Views

Thanks for your response Rose_Queen. Is it possible to share that policy?

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Rose_Queen has 15 years experience as a BSN, MSN, RN and specializes in OR, education.

12 Followers; 4 Articles; 9,480 Posts; 110,232 Profile Views

My employer likely would not approve of doing so, plus it would also identify me here. Have you checked out the templates from AORN? It’s included in the eGuidelines plus subscription and is pretty much ready to go minus any specifics you need to add and the facility info.

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ftwormanager has 8 years experience and specializes in Ortho and Spine surgery.

3 Posts; 17 Profile Views

My facility and I do not have a subscription to eGuidelines, and due to limited hours I am choosing to save my personal resources for more life immediate needs.

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